RER (11-1078)61345 Living Stone Dr
11-1078
Application Number: �ii�,-_0�08 # Owner:
Property Address: `f4NG`STONE DR DAVID COLTMAN
APN: 764-280-999-8 -300236- 61345 LIVING STONE DRIVE
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application Valuation: 3000
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/03/11
Contractor:
Applicant: Architect or Engineer: TESERRA D
P.O.' BOX 1280
COACHELLA, CA 92236
(760) 398-9222 /1
A- LiC..No.: 656128 O./+ v
T. � 20 1
C�1'.OI: ISA QIJINrA
1'g@1 W`r' n - - - -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under,penalty of perjury that I am licensed under provisions of Chapter'9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: "
Section 7000) of Division 3 of the Business and ofessionals Code, and my License is in full force and effect. _ Ihave and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C y 1 , 27, 2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: _7 �/ ntractor: - - __V1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number 7600006481111
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure,'prior to its issuance, also requires the applicant for the person in.any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and a ree that, ifCode,
Tshallhwith
ct to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 7 of the Labcomply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)": ate: Ga S �� plicant: .
() I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds"or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN -ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT .
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project:(Sec. IMPORTANT Application is hereby made to the Director of. Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
• property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ I I am exempt under Sec. , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City '
of La Quinta, its officers, agents and employees for any act or omission. related to the work being
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the.
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender'sName:
Lender's' Address:
I.P.-
LQPERMIT
performed under or following issuance of this permit. -
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for -180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building c,nstruction, and hereby authorize representatives
of tlys cou�tnupon the above-mentioned property for coon purposes.
bei6i ture (Applicant or Agent):
Application Number . . . i1-00001078 '
Permit . . . PLUMBING
Additional desc .
Permit Fee" 18..00 Plan Check Fee
4.50
Issue Date . . Valuation
•0
'Expiration Date 3/31/12 .
Qty. Unit Charge., Per
Extension
BASE FEE
15.00°
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
----------------------------------------------------------------------------
3.00
Permit WALL/FENCE PERMIT"
Additional desc .
Permit Fee 21.00 Plan Check Fee
.00-n
Issue Date Valuation . .
800
Expiration Date 3/31/.12
Qty' Unit Charge, Per
Extension
BASE FEE
15.00
3.00 2.0000 HND BLDG 501-2,000
6.00
Special Notes and Comments
66 L.F. GAS LINE FOR FIREPIT, 44 L.F. 3'
BLOCK•WALL, CITY STANDARD &(3) 121JX1211
BLOCK COLUMNS. 2010. CODES.
--------------------------------------------------------------.------
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
-
1.00
STRONG MOTION (SMI)-- RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total, .39.00 .00 .00
39.00
Plan Check Total 4.50 .00 .00
.4.50
Other Fee Total 1.50 .00 .00
1.50
Grand Total 45.00 .00 .00
45.00
- LQPERMIT
I• NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
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Bin #
City of La Quints
Building 81. Safety. Division
P.O. Box .1504, •78-495 Calle'Tampico
La QuintaCA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit # •
Project Address:' 6 3 yS_141 '�
Owner's Name: N
A. P. Number:
Address:6/ -
3 ys LlJtnrCSrtc�n1E
Legal Description:
ConVacto
City, ST, Zip: L•A .rJ.,?Iv CA, .22S
Telephone: 3%
p .��.
Address: 8 6 /00-AVE S
Project Description: V-J nAS L I N t5
City, ST; Zip: CA (72Z3
rL if
Telephone: r/ 8 �! 2 Z `%i.; ;' %.:+:,?*v ' y:.n ..:
State Lic. # : $ 6 / Z. S . City Lic. #:0-4
Arch., Engr., Designer:
Y y L O t
A4 n
Address:
City, ST, Zip:
Telephone: k 4. '- ': �' •
State Lie. #:,..:..xo' ;; ?x„
$ =`z hfs:
Name of Contact Person:
Construction T an
Type: Occupancy:
�1 type (circle one): New ' Add'n Alter Repair Demo ,
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:21 0
Estimated Value of Project: 3 000,
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING PERMPP FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for correetious
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
i.Mechanical
Grading plan
2'! Review, ready for correctionsrusue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
'" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P. •
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees